Active NPI
John Layton Wright Jr., D.O.
- Family Medicine Physician
- Longview, TX
National Provider Identifier
1043224223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G9248
- Practice address
- 802 Medical Dr Ste 401
Longview, TX 75605-5206 - Phone
- (903) 553-7670
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G9248 | TX | Primary |
Addresses
Primary practice location
802 Medical Dr Ste 401
Longview, TX 75605-5206
Mailing address
PO Box 610393
Dallas, TX 75261-0393
Phone (903) 757-6042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127172812 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G9248 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phynet, Inc. | Past | Accepting new patients | |
| Diagnostic Clinic of Longview PA | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1386638468
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1043224223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610393",
"city": "DALLAS",
"state": "TX",
"postal_code": "752610393",
"telephone_number": "903-757-6042",
"fax_number": "903-237-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 MEDICAL DR STE 401",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055206",
"telephone_number": "903-553-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JOHN",
"middle_name": "LAYTON",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G9248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127172812",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.